Balance in Family Triads:How Intergenerational Relationships Affect the Adult Sibling Relationship

In order to understand the interdependency between intergenerational and adult sibling relationships, a family systems perspective is applied to identify a smaller?empirically analyzable?relational unit of analysis, that is, the sibling?parent?sibling triad. Using balance theory, triadic configurations are derived that represent enhancement, compensation, and loyalty conflicts. The hypotheses are tested for three relational dimensions: support exchange, contact, and conflict. Multilevel analyses of 549 sibling?parent?sibling triads from the Netherlands Kinship Panel data show strong evidence for enhancement, whereas some indication was obtained for sibling relationships being affected by loyalty conflicts. The results underscore and substantiate interdependency between intergenerational and adult sibling relationships

On the classification of type D spacetimes

We give a classification of the type D spacetimes based on the invariant differential properties of the Weyl principal structure. Our classification is established using tensorial invariants of the Weyl tensor and, consequently, besides its intrinsic nature, it is valid for the whole set of the type D metrics and it applies on both, vacuum and non-vacuum solutions. We consider the Cotton-zero type D metrics and we study the classes that are compatible with this condition. The subfamily of spacetimes with constant argument of the Weyl eigenvalue is analyzed in more detail by offering a canonical expression for the metric tensor and by giving a generalization of some results about the non-existence of purely magnetic solutions. The usefulness of these results is illustrated in characterizing and classifying a family of Einstein-Maxwell solutions. Our approach permits us to give intrinsic and explicit conditions that label every metric, obtaining in this way an operational algorithm to detect them. In particular a characterization of the Reissner-Nordstr\"{o}m metric is accomplished.Comment: 29 pages, 0 figure

Independent position correction on tumor and lymph nodes; consequences for bladder cancer irradiation with two combined IMRT plans

Abstract Background The application of lipiodol injections as markers around bladder tumors combined with the use of CBCT for image guidance enables daily on-line position correction based on the position of the bladder tumor. However, this might introduce the risk of underdosing the pelvic lymph nodes. In this study several correction strategies were compared. Methods For this study set-up errors and tumor displacements for ten complete treatments were generated; both were based on the data of 10 bladder cancer patients. Besides, two IMRT plans were made for 20 patients, one for the elective field and a boost plan for the tumor. For each patient 10 complete treatments were simulated. For each treatment the dose was calculated without position correction (option 1), correction on bony anatomy (option 2), on tumor only (option 3) and separately on bone for the elective field (option 4). For each method we analyzed the D99% for the tumor, bladder and lymph nodes and the V95% for the small intestines, rectum, healthy part of the bladder and femoral heads. Results CTV coverage was significantly lower with options 1 and 2. With option 3 the tumor coverage was not significantly different from the treatment plan. The ΔD99% (D99%, option n - D99%, treatment plan) for option 4 was small, but significant. For the lymph nodes the results from option 1 differed not significantly from the treatment plan. The median ΔD99% of the other options were small, but significant. ΔD99% for PTVbladder was small for options 1, 2 and 4, but decreased up to -8.5 Gy when option 3 was applied. Option 4 is the only method where the difference with the treatment plan never exceeds 2 Gy. The V95% for the rectum, femoral heads and small intestines was small in the treatment plan and this remained so after applying the correction options, indicating that no additional hot spots occurred. Conclusions Applying independent position correction on bone for the elective field and on tumor for the boost separately gives on average the best target coverage, without introducing additional hot spots in the healthy tissue.</p

Pulmonary Effects of Neonatal Hydrocortisone Treatment in Ventilator-Dependent Preterm Infants

Background/Objective. Hydrocortisone, administered to ventilated preterm neonates to facilitate extubation, has no adverse long-term effects, but short-term pulmonary effects have not been described previously. In the present study, we analyzed effects of hydrocortisone on ventilator settings and FiO2 in ventilator-dependent preterm infants. Patients and Methods. Fifty-five preterm children were included in this retrospective cohort study. Hydrocortisone was administered at a postnatal age of > 7 days to treat chronic lung disease (CLD). Ventilator settings before and after hydrocortisone administration were recorded as well as FiO2 at 36 weeks' gestational age. Presence of cerebral palsy was assessed at a mean corrected age of 24.1 months. Results. Hydrocortisone administered at a median postnatal age of 14 days significantly reduced FiO2 from a median of 0.39 to 0.30, mean airway pressure (MAP) from a median of 10.0 cm H2O to 7.6 cm H2O, and PaCO2 from a median of 53.5 mmHg to 47 mmHg. Extubation was achieved in all patients. CLD at 36 weeks was present in 11 of the 52 patients (21.1%). None developed cerebral palsy. Conclusions. Hydrocortisone was effective in reducing the FiO2, MAP, and PaCO2 and facilitated extubation. Hydrocortisone was not associated with cerebral palsy

Complete classification of purely magnetic, non-rotating and non-accelerating perfect fluids

Recently the class of purely magnetic non-rotating dust spacetimes has been shown to be empty (Wylleman, Class. Quant. Grav. 23, 2727). It turns out that purely magnetic rotating dust models are subject to severe integrability conditions as well. One of the consequences of the present paper is that also rotating dust cannot be purely magnetic when it is of Petrov type D or when it has a vanishing spatial gradient of the energy density. For purely magnetic and non-rotating perfect fluids on the other hand, which have been fully classified earlier for Petrov type D (Lozanovski, Class. Quant. Grav. 19, 6377), the fluid is shown to be non-accelerating if and only if the spatial density gradient vanishes. Under these conditions, a new and algebraically general solution is found, which is unique up to a constant rescaling, which is spatially homogeneous of Bianchi type $VI_0$, has degenerate shear and is of Petrov type I($M^\infty)$ in the extended Arianrhod-McIntosh classification. The metric and the equation of state are explicitly constructed and properties of the model are briefly discussed. We finally situate it within the class of normal geodesic flows with degenerate shear tensor.Comment: 12 pages; introduction partly rewritten, notation made more clear, table of results adde